Healthcare Provider Details

I. General information

NPI: 1881500817
Provider Name (Legal Business Name): DR. PAMELA SUBTIL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

396 DANBURY RD UNIT 5
WILTON CT
06897-2024
US

IV. Provider business mailing address

396 DANBURY RD UNIT 5
WILTON CT
06897-2024
US

V. Phone/Fax

Practice location:
  • Phone: 203-978-3343
  • Fax: 203-529-3215
Mailing address:
  • Phone: 203-978-3343
  • Fax: 203-529-3215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number15626
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: